Chang, Philip Minder
Chang, Philip Minder is an individual health care provider with primary practice located at 1600 Sw Archer Rd Box 100296 , Gainesville FL 32610-5310. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Chang, Philip Minder can be contacted via phone (352) 273-7770.Contact Information
Primary practice address
1600 Sw Archer Rd Box 100296
Gainesville FL 32610-5310
Phone: (352) 273-7770
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | A89041 | California |
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | A89041 | California |
Profile Details
| NPI number | 1780821827 |
|---|---|
| LBN Legal business name | Chang, Philip Minder |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2009 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780821827 | NPPES |
| Florida | MEDICAID | 021747200 |
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